NPI | 1780096487 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY HAYES HAYES Owner 352-434-9704 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: FL 003176500) |
Additional Taxonomies | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: FL 002411700) |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-05-29 |